Developing a professional identity: Student nurses in the workplace
Laurie Grealish
Faculty of Health, University of Canberra, Canberra ACT
Corinne Trevitt
Lecturer, School of Nursing, Faculty of Applied Science, University of Canberra, ACT
PP: 137 - 150
Abstract
This analysis of the academic and student discourse about learning in the practicum in one Australian pre-registration Bachelor of Nursing course is part of a larger study examining the professional identity of undergraduate students in three professional groups: nursing, teaching and engineering. The focus group discussion of six student nurses reveals that the theories learned in the classroom are only partially useful preparation for the relationships required to work as a nurse in a people-laden workplace; students struggle to create meaning about practices that are not consistent with classroom theory; and students require support as they develop an identity of a nurse through the embodiment of practice work.
The findings from this group support the view that the traditional approach to learning, as expressed in the documentation for the final practicum experience, where knowledge is certain, context-free, and disciplinary or subject focused, is insufficient to assist student readiness for the world of work. Recommendations emerging from this analysis are related to the university and provides some evidence for others teaching in nursing programs to reconsider their practices.
Keywords
practicum; knowledge; collaboration; nurse; identity
References
Andrews M & Roberts D (2003): Supporting student nurses learning in and through clinical practice: the role of clinical guide. Nurse Education Today 23 (7): 474-481.
Ball S (2000): Performativities and fabrications in the education economy: Towards the performative society? The Australian Educational Researcher 27(2): 1-23.
Boud D, Keogh R & Walker D (1985): Reflection: Turning Experience into Learning: Kogan Page, London.
Chapman R & Orb A (2000) The nursing students' lived experience of clinical practice. The Australian Electronic Journal of Nursing Education 5(2): no pagination.
Chapman R & Orb A (2001): Coping strategies in clinical practice: The nursing students' lived experience. Contemporary Nurse 11(1): 95-102.
Clare J (1993): Change the curriculum - or transform the conditions of practice? Nurse Education Today 13(4): 282-286.
Davey L (2002): Nurses eating nurses: The caring profession which fails to nurture its own. Contemporary Nurse 13(2-3): 192-197.
Davies E, Turner C & Osborne Y (1999): Evaluating a clinical partnership model for undergraduate nursing students. Collegian 6(2): 23-27 & 40.
Dolan G (2003): Assessing student clinical competence: Will we ever get it right? Journal of Clinical Nursing 12(1): 132-141.
Edmond CB (2001): A new paradigm for practice education. Nurse Education Today 21(4): 251-259.
Elliot M (2002a): The Clinical Environment: A source of stress for undergraduate nurses. Australian Journal of Advanced Nursing 20(1): 34-38.
Elliot M (2002b): Clinical education: a challenging component of undergraduate nursing education. Contemporary Nurse 12(1): 69-77.
Freeth D, Reeves S Goreham C Parker P Haynes S Pearson S (2001): 'Real life' clinical learning on an inter-professional training ward. Nurse Education Today 21(5): 366-372.
Gibbons M Limoges C, Nowotny H, Schwartzman S, Scott P & Trow M (1994): The New Production of Knowledge: The dynamics of science and research in contemporary societies. Sage, London.
Glen S (1998): The key to quality nursing care: towards a model of personal and professional development. Nursing Ethics 5(2): 95-102.
Grealish L & Thoms M (1999): Off campus education activities at the University of Canberra. PEPE Research Monograph 3: 30-41.
Hager P & Butler J (1996): Two models of educational assessment. Assessment & Evaluation in Higher Education 21(4): 367-378.
Hart G (1997): Clinical teaching strategies to encourage reflective practice. International Journal of PEPE Inc 1(1): 53-67.
Healy CM & McKay MF (2000): Nursing stress: the effects of coping strategies and job satisfaction in a sample of Australian nurses. Journal of Advanced Nursing 31(3): 681-688.
Hogan P (2001): Human resource management strategies for the retention of nurses. Contemporary Nurse 10 (3/4): 251-157.
Hughes C (1998): Practicum learning: perils of the authentic workplace. Higher Education Research and Development 17(2): 207-227.
Jackson D & Mannix J (2001): Clinical nurses as teachers: insights from students of nursing in their first semester of study. Journal of Clinical Nursing 10(2): 270-277.
Johnstone M (2002): Poor working conditions and the capacity of nurses to provide moral care. Contemporary Nurse 12(1): 7-15.
Lewis MA (1998): An examination of the role of learning environments in the construction of nursing identity. Nurse Education Today 18(3): 221-225.
Massarweh L (1999): Promoting a positive clinical experience. Nurse Educator 24(3): 44-47.
Mcilfatrick S (2004) The future of nurse education: characterised by paradoxes. Nurse Education Today 24(2): 79-83.
Mitchell G (2003) Nursing shortage or nursing famine: Looking beyond the numbers? Nursing Science Quarterly 16(3): 219-224.
Papp I, Markkanen M & von Bonsdorff M (2003): Clinical environment as a learning environment: Student nurses' perceptions concerning clinical learning experiences. Nurse Education Today 23(4): 262-268.
Pearson M & Smith D (1985): Debriefing in experience based learning. In Boud D Keogh R Walker D (Eds) Reflection: Turning Experience into Learning. Kogan Page, London
Ramsden P (1992): Learning to Teach in Higher Education. Routledge, London
Ryan G, Toohey S & Hughes C (1996): The purpose, value, and structure of the practicum in higher education: A literature review. Higher Education 31 (3): 355-377.
Schulman LS (1998): Theory, practice and the education of professionals. The Elementary School Journal 98(5): 511-527.
Taylor I (1997): The person is professional: Using pre-course experience for learning. In Developing Learning in Professional Education: Partnerships in Practice. Bristol PA: The Society of Research into Higher Education and Open University Press.
Wenger W (1999): Communities of Practice: Learning, Meaning and Identity: Cambridge University Press, Cambridge UK.
Wilson ME (1994): Nursing student perspective of learning in a clinical setting. Journal of Nursing Education 33(2): 81-86.
Windsor A (1987): Nursing students' perceptions of clinical experience. Journal of Nursing Education 26(4): 150-154.
Yong V (1996):'Doing clinical': the lived experience of nursing students. Contemporary Nurse 5(2): 73-79.

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